개방형 접근법 Open Approach

[BACKGROUND] The septocolumellar strut (SCS) technique has been proposed as an additional support element to enhance tip stability when used alongside a traditional columellar strut in open rhinoplasty. Evidence on its early and long-term e…

[BACKGROUND] Several modalities have been developed to achieve precise tip contouring and address postsurgical edema. This comparative study aimed to analyze the short- and long-term effects of the Pitanguy ligament management on nasal tip …

The deep inferior epigastric artery perforator (DIEP) flap is considered the gold standard for autologous breast reconstruction. Traditional DIEP flap harvest involves a large rectus sheath incision, which can lead to considerable abdominal…

[BACKGROUND] Caudal septal deviation poses a significant challenge in rhinoplasty, affecting both nasal airflow and aesthetic balance. While various techniques such as scoring, swinging door, and batten grafting have been used, many fail to…

[UNLABELLED] The characteristic feature of type III NOE fracture is the avulsion of medial canthal tendon. This produces unfavourable changes in peri-orbital aesthetics, specifically, telecanthus & mongoloid slant. Restoration of aesthetics…

[BACKGROUND] Lengthening a short nose using costal cartilage is common in primary and revision rhinoplasty but has drawbacks, including complexity, two surgical sites, and high complication rates. We present an alternative technique using o…

[OBJECTIVES] In the present study, we investigated the efficacy of nasal tip grafts for nasal tip shaping and for evaluating rhinoplasty outcome evaluation (ROE). [METHODS] Patients who underwent open rhinoplasty and received various graft…

Achieving imperceptible scars is crucial in facial plastic surgery, particularly in rhinoplasty. The open rhinoplasty technique, which uses a transcolumellar incision with bilateral marginal incisions, provides enhanced visibility and contr…

[OBJECTIVES] Achieving the desired long-term results in terms of nasal tip projection and rotation is challenging in rhinoplasty. To improve upon the stability and strength of tip support compared with conventional single-strut grafts, the …

[BACKGROUND] Nasal base depression is a frequent aesthetic concern in rhinoplasty, particularly in patients with midfacial retrusion. This study introduces a fascia transplantation technique to correct alar base (paranasal) depression and r…

[BACKGROUND] Columellar defects, resulting from trauma or surgery, pose both functional and aesthetic challenges. This study evaluates the functional and aesthetic outcomes of columellar reconstruction using the philtral flap method in a ca…

[BACKGROUND] Septal perforation repair is variably successful, and its impact on nasal breathing remains underexplored. [OBJECTIVE] To evaluate the effectiveness of bipedicled mucosal advancement flap repair in septal perforation surgery, …

[PURPOSE] Alar cartilage anatomy varies significantly across ethnic groups, and understanding these differences is crucial in nasal tip surgery. The aim of this descriptive study was to evaluate the anthropometric properties of the alar car…

[BACKGROUND] Rhinoplasty and particularly tip refinement, is complex and prone to revision, especially in thin-skinned patients. To address these issues, the senior author developed a fascia-cartilage hybrid tip graft (FCHTG) combining crus…

[BACKGROUND] Closed rhinoplasty had initially been relegated to a reductive procedure that did not provide access to place structural sutures for tip support. Despite the influence of closed rhinoplasty advocates Sheen, Constantian, Guerrer…

[BACKGROUND] This study aimed to evaluate the effects of the flexible tongue-in-groove (TIG) technique on nasal tip stability in patients undergoing columellar strut graft (CSG) placement. Nasal tip rotation and projection changes were comp…

Nasal tip stability is a key determinant of long-term rhinoplasty outcomes, yet the role of scroll reconstruction in supporting this stability remains insufficiently studied. This study investigated the impact of scroll reconstruction on na…

[BACKGROUND] East Asian women often present with mild nasal contour imperfections for which they are unwilling to undergo open rhinoplasty because the potential risks outweigh the modest severity. Autologous fat grafting is a mature techniq…

ObjectiveSecondary rhinoplasty is a frequently requested revision procedure in patients with a history of cleft lip and palate (CLP). The satisfaction of patients with the esthetic outcome of the procedure has been infrequently studied.Desi…

During rhinoplasty surgery, tiny bone spicules (BSs) can form, particularly if blunt tools are used. If these BSs are not noticed and removed intraoperatively, they can cause cosmetic problems and nasal swelling postoperatively. A patient w…